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Perioperatives Management bei der Versorgung mit aktiven Rhythmusimplantaten

  • Konstantin Krieger,
  • Innu Park,
  • Till Althoff,
  • Sonia Busch,
  • K. R. Julian Chun,
  • Heidi Estner,
  • Leon Iden,
  • Tilman Maurer,
  • Andreas Rillig,
  • Philipp Sommer,
  • Daniel Steven,
  • Roland Tilz,
  • David Duncker

摘要

Cardiovascular implantable electronic devices (CIED) are an important part of modern cardiology and careful perioperative planning of these procedures is necessary. All information relevant to the indication, the procedure, and the education of the patient must be available prior to surgery. This provides the basis for appropriate device selection. Preoperative antibiotic prophylaxis and perioperative anticoagulation management are essential to prevent infection. After surgery, postoperative monitoring, telemetric control, and device-based diagnostics are required before discharge. These processes need to be adapted to the increasing trend towards outpatient care. This review summarises perioperative management based on practical considerations.